NPI | 1881941698 |
---|---|
Former Name | TERRI ANNE PAPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.009083) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209009083) |
Enumeration Date | 2012-08-10 |
Last Update Date | 2021-07-14 |